Inspection Detail

Inspection: 120020425 - Shimmick O'Hbayashi

Inspection Information - Office: San Francisco District Office

Inspection Nr: 120020425

Report ID: 0950611

Date Opened: 01/05/1994

Site Address:
Shimmick O'Hbayashi
Jerrold Ave./Barneveld Ave.
San Francisco, CA 94124

Mailing Address:
162 Napoleon St., San Francisco,Attn: John Bliss, CA 94124

Union Status: Union

SIC:1541

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/12/1994

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 06/01/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	361403058
Accident	361403066

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations				1		1
Initial Penalty	$2,250	$0	$0	$150	$0	$2,400
Current Penalty	$0	$0	$0	$150	$0	$150
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	1509 B	02/04/1994	01/12/1994	$150	$150	$0	02/10/1994	W - Empr Withdrew
2.	02001	Serious	1632 G	02/04/1994	01/05/1994	$0	$2,250	$0	02/10/1994	F - Formal Settlement	Citation has been deleted.

Investigation Summary

Investigation Nr: 170204036

Event: 11/30/1993

Employee dislocates shoulder in fall into manhole

On November 30, 1993, at approximately 10:50 a.m., Employee #1 was removing 2 by 4 formwork from a 4 ft diameter manhole. He was picking up the removed 2 by 4s, when he tripped over one. Employee #1 fell approximately 25 ft into the manhole and dislocated his shoulder.

Keywords: SHOULDER, WORK RULES, CONSTRUCTION, TRIPPED, DISLOCATED, FALL, MANHOLE, UNGUARDED

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120020425			Hospitalized injury	Dislocation	Concrete and terrazzo finishers

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